Perioperative outcomes of laparoscopic transhiatal inversion esophagectomy compare favorably with those of combined thoracoscopic-laparoscopic esophagectomy.

Surgical Endoscopy
Kyle A PerryJohn G Hunter

Abstract

Wide acceptance of laparoscopic esophagectomy has been hampered by the technical difficulty of the procedure and inconsistent improvements in morbidity and mortality. Most case series have utilized a combined thoracoscopic-laparoscopic approach (TLE), but laparoscopic inversion esophagectomy (LIE), a method of transhiatal esophagectomy, has been proposed as an alternative. Inversion esophagectomy simplifies retraction and improves exposure during the mediastinal dissection; however, no previous studies have directly compared LIE outcomes with those of the combined approach. Between July 2003 and March 2008, 70 consecutive patients underwent minimally invasive esophagectomy by LIE (N = 40) or TLE (N = 30). Data for all patients were collected prospectively and stored in a relational database. Recorded outcome measures included operative time, blood loss, length of hospital stay, intensive care unit stay, and perioperative complications. There were no significant differences in patient age, gender, body mass index (BMI), or American Society of Anesthesiologists (ASA) class between the groups, but LIE patients had lower stage of esophageal cancer, and were less likely to have received induction chemoradiotherapy than TLE patients....Continue Reading

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Citations

May 18, 2010·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Kyle A PerryJohn G Hunter
May 14, 2010·Surgical Endoscopy·Sebastian F SchoppmannJohannes Zacherl
Jan 1, 2012·Seminars in Thoracic and Cardiovascular Surgery·Nathan W BronsonJohn G Hunter
Dec 4, 2012·Seminars in Thoracic and Cardiovascular Surgery·George B HannaSheraz R Markar
Nov 22, 2012·Gastrointestinal Endoscopy Clinics of North America·Brintha K Enestvedt, Gregory G Ginsberg
Mar 18, 2011·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Alberto PatritiLuciano Casciola
Sep 24, 2015·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Nathan W BronsonJames P Dolan
May 13, 2015·The Surgical Clinics of North America·Blair A Jobe
Aug 20, 2016·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Patrick J McLaren, James P Dolan
Oct 11, 2012·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Erin SchumerWilliam Scott Melvin
Dec 21, 2011·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Marc M DantocGuy D Eslick

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